- Trinity Health (Maywood, IL)
- …at the Westmont office Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a ... referral authorizations. **Great opportunity for a Lead Care Coordinator to work in an organization that focuses on...the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral… more
- Universal Health Services (Colorado Springs, CO)
- …Position: This position is responsible for providing initial, ongoing, and systematic utilization review on all patients assigned by Director, coordinating ... THE POSITION IS FILLED. We have a Full Time Utilization Management Care Coordinator opportunity available, this...university with a current Colorado RN license. Experience in utilization review , managed care, or determining appropriateness… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting 4/16/24 to 4/29/24 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- UCLA Health (Los Angeles, CA)
- …of reviewer in review , and health plan contracts. The Case Management Coordinator will also be responsible for: * Preparation and maintenance of specific reports ... direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination activities in… more
- Universal Health Services (Danville, VA)
- …expectations to appropriate clinical and administrative staff. . Assist in preparing Utilization Review Reports as necessary. . Coordinates and makes ... coordinated, effective treatment by facilitating the communication exchange between referral source, physician/treatment team and payor and managing timely… more
- UCLA Health (Los Angeles, CA)
- …point of contact for receiving and resolving member denials. You will review denials for accuracy, confirming the receipt of necessary documentation to support ... * In-depth knowledge of medical terminology * Understanding of the HMO referral process, eligibility verification, and health plan benefit interpretation * Strong… more
- Hartford HealthCare (Shelton, CT)
- …care, urgent care and more than 30 different specialties. *_Job Description_* HHCMG Referral Coordinator is responsible for new patient referrals being sent to ... digestive health needs. Schedules will be reviewed daily to review for openings to get patients from the waiting...that patient information is complete and up to date. Referral coordinator will be expected to complete… more
- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as ... Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members and/or provider… more
- Spokane County (Spokane, WA)
- …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient ... other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
- ERP International (Tinker AFB, OK)
- …of the plan and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the right care, ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); Comprehensive Accreditation… more
- UPMC (Shrewsbury, PA)
- …video visit. + Patients with complex needs will be routinely identified through case review , referral from physician practices, and referral from inpatient ... Pinnacle Medical Group, Outpatient Care Management Team is adding an OP Nurse Coordinator I (Registered Nurse, RN) to their team in Hanover/York area. This position… more
- Universal Health Services (Bradenton, FL)
- … to alternate treatment sources when appropriate. The Director of Admissions/ Utilization Management performs admission and concurrent review of patients. ... Shores Behavioral Health is currently seeking a Director of Admissions and Utilization Management Palm Shores Behavioral Health Center provides quality mental health… more
- Evergreen Health (Jamestown, NY)
- …Care Coordinator is responsible for the following outcomes: Reduce utilization associated with avoidable and preventable inpatient stays; reduce utilization ... Evergreen Health The Telephonic Care Coordinator applies the essential activities of case management...Promotion, Comprehensive Transitional Care, Patient & Family Support and Referral to Community & Social/Support Services) to patients within… more
- Acacia Network (Bronx, NY)
- …work documentation to compile concurrent review package. + . Submitting concurrent review package and follow up with Utilization Management team at the ... Casa Promesa Nursing Home Admissions Coordinator Bronx, Ne : 9/26/2023 Job Description Job.... Circulate current medical reports for Medical Director to review and approve for admissions. + . Ensure signatures… more
- HCA Healthcare (Miami, FL)
- …personal growth, we encourage you to apply for our Cardiovascular Quality Coordinator opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Cardiovascular Quality Coordinator you want with your current employer? We have...family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home… more
- HCA Healthcare (Hermitage, TN)
- …opportunity compelling, we encourage you to apply for our Clinical Informatics Coordinator opening. We promptly review all applications. Highly qualified ... diversity and inclusion thrive? Submit your application for our Clinical Informatics Coordinator opening with TriStar Summit Medical Center today and find out what… more
- HCA Healthcare (Denver, CO)
- …satisfaction and personal growth, we encourage you to apply for our Rehab Case Coordinator RN or MSW opening. We promptly review all applications. Highly ... is hired below midpoint of the range. **Rehab Case Coordinator ** **RN or MSW are being considered** **RN pay...family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home… more
- HCA Healthcare (Nashville, TN)
- …and personal growth, we encourage you to apply for our Patient Care Coordinator opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a Patient Care Coordinator today with TriStar Southern Hills Medical Center. **Benefits** TriStar Southern Hills… more
- Universal Health Services (Anchorage, AK)
- …and career advancement with UHS! Position Summary: The Business Development Coordinator develops and maintains direct referral relationships in designated ... Responsibilities BUSINESS DEVELOPMENT COORDINATOR North Star Behavioral Health is one of...of peers and leaders that routinely exchange ideas and review current topics within the industry. With us, you… more
- HCA Healthcare (Las Vegas, NV)
- …budgeting, performance improvement, education, trauma program hospital services utilization , and marketing communications. The Trauma Program Coordinator ... hours volunteering in our communities. As a(an) RN Trauma Coordinator PI with Sunrise Hospital you can be a...family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home… more